NOTICE OF RECOMMENDED EDUCATIONAL PLACEMENT/PRIOR WRITTEN NOTICE (NOREP/PWN) Date Sent (mm/dd/yy): Name and Address of Parent/Guardian/Surrogate: School Age For LEA Use Only: Date of Receipt of Signed NOREP/PWN Dear : This is to notify you of the Local Education Agency s (LEA s) action regarding your child s educational program. 1. Type of action taken: Proposes initial provision of special education and related services (For this action, the school may not proceed without your written consent in Section 8 of this document) X X Refusal to initiate an evaluation (Must issue Procedural Safeguards Notice) Proposes to change the identification, evaluation or educational placement of the child or the provision of a free appropriate public education (FAPE) Refusal to change the identification, evaluation or educational placement of the child or the provision of a free appropriate public education (FAPE) Change of placement for disciplinary reasons (Must issue Procedural Safeguards Notice) Due process hearing, or an expedited due process hearing, initiated by LEA Graduation from high school Exiting special education Exiting high school due to exceeding the age eligibility for a free appropriate public education (FAPE) Extended School Year (ESY) services Response to request for an independent educational evaluation (IEE) at public expense Other 2. A description of the action proposed or refused by the LEA: Student will graduate from high school at the conclusion of the - school term. 3. An explanation of why the LEA proposed or refused to take the action: Student has attained the skills necessary to meet his [her] measurable post-secondary goals. Although student has not met all standards established by the Pennsylvania State Board of Education for graduation from high school, the IEP team has determined that waiver of unmet standards is appropriate at this time and will not adversely affect his [her] readiness for post-secondary life. 4. A description of other options that the IEP team considered and the reasons why those options were rejected. If the action proposed or refused is in regard to educational placement, options considered must Page 1 of 5
begin with the regular educational environment with supplementary aids and services (information about supplementary aids and services is available on the PaTTAN website at www.pattan.net): Options Considered Remain in high school until all standards are met. Reason for Rejection The IEP team has determined that waiver of unmet standards is appropriate at this time and will not adversely affect the readiness of student for post-secondary life. 5. A description of each evaluation procedure, assessment, record or report used as a basis for the proposed action or action refused: Keystone exam results, high school transcript, progress monitoring of transition-related annual goals. 6. A description of other factors that were relevant to the LEA s proposal or refusal: None. 7. The educational placement recommended for your child is (State the amount and type of special education supports, e.g., Itinerant Learning Support, Supplemental Autistic Support, Full-Time Emotional Support): Graduation from high school and discontinuation of eligibility for all regular and special education programs and services effective June,. School District Superintendent/Designee Charter School CEO Signature Date (mm/dd/yy) You have rights and protections under the law described in the Procedural Safeguards Notice. If you need more information or want a copy of this notice, please contact: Name and Title: Email Address: Phone: 8. PARENTAL CONSENT Directions for Parent/Guardian/Surrogate: Please check one of the options, sign this form, and return it within 10 calendar days. In circumstances when this form is NOT completed and parental consent is NOT required, the school will proceed as proposed after 10 calendar days. I request an informal meeting with school personnel to discuss this recommendation. I approve this action/recommendation. I do not approve this action/recommendation.* My reason for disapproval is: I request (Contact the Office for Dispute Resolution at 800-360-7282 for information on Mediation and Due Process Hearing): Mediation Page 2 of 5
Due Process Hearing * Except for placement in an interim alternative educational setting due to drugs, weapons, or serious bodily injury ( 300.530(g), 300.530(i), and 300.531), if you do not approve the action/recommendation, your child will remain in the current program/placement only if you request a due process hearing or mediation through the Office for Dispute Resolution. If you do not request Due Process or Mediation through the Office for Dispute Resolution, the LEA will implement the action/recommendation. SIGN HERE: Parent/Guardian/Surrogate Signature Date (mm/dd/yy) Daytime Phone PLEASE RETURN THIS ENTIRE FORM TO: Name: Address: Attached are state and local resources you can consult to help you understand your rights and how the special education process works. For help in understanding this form, an annotated NOREP/Prior Written Notice is available on the PaTTAN website at www.pattan.net Type Annotated Forms in the Search feature on the website. If you do not have access to the Internet, you can request the annotated form by calling PaTTAN at 800-441-3215. Page 3 of 5
RESOURCES www.drnpa.org PENNSYLVANIA BAR ASSOCIATION 100 South Street Harrisburg, PA 17101 800-932-0311 www.pabar.org RESOURCES THE ARC OF PENNSYLVANIA 101 South Second Street Suite 8 Harrisburg, PA 17101 800-692-7258 www.thearcpa.org PARENT EDUCATION NETWORK (PEN) 2107 Industrial Highway York, PA 17402-2223 717-600-0100 (Voice/TTY) 800-522-5827 (Voice/TTY) 800-441-5028 (Spanish in PA) 717-600-8101 (Fax) www.parentednet.org PARENT EDUCATION AND ADVOCACY LEADERSHIP CENTER (PEAL) 1119 Penn Avenue Suite 400 Pittsburgh, PA 15222 412-281-4404 (Voice) 866-950-1040 (Voice) 412-281-4409 (TTY) 412-281-4408 (Fax) www.pealcenter.org HISPANICS UNITED FOR EXCEPTIONAL CHILDREN (HUNE, INC.) 202 West Cecil B. Moore Avenue Philadelphia, PA 19122 215-425-6203 (Voice) 215-425-6204 (Fax) www.huneinc.org DISABILITIES RIGHTS NETWORK 1414 North Cameron Street Suite C Harrisburg, PA 17103 800-692-7443 (Toll-Free Voice) 877-375-7139 (TDD) 717-236-8110 (Voice) 717-346-0293 (TDD) 717-236-0192 BUREAU OF SPECIAL EDUCATION S CONSULTLINE, A PARENT HELPLINE 800-879-2301 ConsultLine personnel are available to parents and advocates of children with disabilities or children thought to be disabled to explain federal and state laws relating to special education; describe the options that are available to parents; inform the parents of procedural safeguards; identify other agencies and support services; and describe available remedies and how the parents can proceed. OFFICE FOR DISPUTE RESOLUTION 6340 Flank Drive Harrisburg, PA 17112-2764 717-541-4960 (Phone) 800-222-3353 (Toll free in PA only) 800-654-4984 (TTY) 717-657-5983 (Fax) www.odr-pa.org The Office for Dispute Resolution administers the mediation and due process systems statewide, and provides training and services regarding alternative dispute resolution methods. PUBLIC INTEREST LAW CENTER OF PHILADELPHIA United Way Building 1709 Benjamin Franklin Parkway, Second Floor Philadelphia, PA 19103 215-627-7100 (Phone) 215-627-3183 www.pilcop.org THE PENNSYLVANIA TRAINING AND TECHNICAL ASSISTANCE NETWORK (PaTTAN) Harrisburg 800-360-7282 King of Prussia 800-441-3215 Pittsburgh 800-446-5607 www.pattan.net STATE TASK FORCE ON THE RIGHT TO EDUCATION 3190 William Pitt Way Page 4 of 5
Pittsburgh, PA 15238 1-800-446-5607 ext. 6830 Page 5 of 5